A Day-hospital Approach to Treatment of Pediatric Complex Regional Pain Syndrome
| Autor: | David S. Leslie, Emily Firn, Elizabeth Carpino, Navil F. Sethna, Veronica Gaughan, Laura E. Simons, Melinda Hogan, Deirdre E. Logan, Marianne Condon, K. Olson, Susan Sager, David Zurakowski, Charles B. Berde, Gloria C. Chiang |
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| Rok vydání: | 2012 |
| Předmět: |
Male
Occupational therapy medicine.medical_specialty Adolescent medicine.medical_treatment Motor Activity Article Partial hospitalization Occupational Therapy Predictive Value of Tests medicine Humans Pain Management Disabled Persons Longitudinal Studies Child Depression (differential diagnoses) Retrospective Studies Psychiatric Status Rating Scales Rehabilitation Cognitive Behavioral Therapy business.industry Retrospective cohort study medicine.disease Patient Discharge Hospitalization Treatment Outcome Anesthesiology and Pain Medicine Complex regional pain syndrome Predictive value of tests Physical therapy Anxiety Female Self Report Neurology (clinical) medicine.symptom business Complex Regional Pain Syndromes |
| Zdroj: | The Clinical Journal of Pain. 28:766-774 |
| ISSN: | 0749-8047 |
| Popis: | OBJECTIVES To examine clinical outcomes of an interdisciplinary day-hospital treatment program (comprised of physical, occupational, and cognitive-behavioral therapies with medical and nursing services) for pediatric complex regional pain syndrome (CRPS). METHODS The study is a longitudinal case series of consecutive patients treated in a day-hospital pediatric pain rehabilitation program. Participants were 56 children and adolescents with ages 8 to 18 years (median=14 y) with CRPS spectrum conditions who failed to progress sufficiently with a previous outpatient and/or inpatient treatments. Patients participated in daily physical therapy, occupational therapy, and psychological treatment and received nursing and medical care as necessary. The model places equal emphasis on physical and cognitive-behavioral approaches to pain management. Median duration of stay was 3 weeks. Outcome measures included assessments of physical, occupational, and psychological functioning at program admission, discharge, and at posttreatment follow-up at a median of 10 months after discharge. Scores at discharge and follow-up were compared with measures on admission by Wilcoxon tests, paired t tests, or analysis of variance as appropriate, with corrections for multiple comparisons. RESULTS Outcomes demonstrate clinically and statistically significant improvements from admission to discharge in pain intensity (P |
| Databáze: | OpenAIRE |
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